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Reconstruction of the proximal femur with a modular resection prosthesis

European Journal of Orthopaedic Surgery & Traumatology volume 26, pages 415–421 (2016)Cite this article

Abstract

Background

Various megaprostheses are currently available for reconstruction of the proximal femur after tumor resection. This study evaluates the survival and complications of a modular megaprosthesis for reconstruction of the proximal femur.

Materials and methods

We studied the medical files of 109 tumor patients (age range 16–86 years) who underwent proximal femoral reconstruction with the MRP® megaprosthesis from 2002 to 2011. There were 70 patients with metastases, 34 patients with bone sarcomas, and five patients with hematological malignancies; 82 were primary and 27 were revision reconstructions. Mean follow-up was 2.5 years; 31 patients had a minimum five-year follow-up. We evaluated the survival and function of the patients, and the survival and complications of the megaprostheses.

Results

Survival was significantly higher for the patients with bone sarcomas compared to those with metastases and hematological malignancies. Mean MSTS functional score was similar between patients with bone sarcomas and those with hematological malignancies and metastases, and between patients with primary and those with revision reconstructions. Overall survival of the MRP® megaprostheses was 74 % at 5 and 9 years. Fourteen (13.6 %) major complications occurred at a mean period of 1.4 years (range 3 months to 4.5 years); these included infection (5.8 %), dislocation (3.9 %), local recurrence (2.9 %), and acetabular fracture (1 %).

Conclusion

MRP® megaprostheses are a valuable reconstruction option after tumor resection of the proximal femur.

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Author information

Affiliations

  1. Department of Orthopedics, Istituto Ortopedico Rizzoli, University of Bologna, Bologna, Italy

    Teresa Calabró, Rupert Van Rooyen, Ilaria Piraino, Elisa Pala, Giulia Trovarelli, Andrea Angelini & Pietro Ruggieri

  2. First Department of Orthopaedics, Athens University Medical School, 41 Ventouri Street, 15562, Holargos, Athens, Greece

    Georgios N. Panagopoulos, Panayiotis D. Megaloikonomos & Andreas F. Mavrogenis

Authors
  1. Teresa Calabró
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  2. Rupert Van Rooyen
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  3. Ilaria Piraino
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  4. Elisa Pala
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  5. Giulia Trovarelli
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  6. Georgios N. Panagopoulos
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  7. Panayiotis D. Megaloikonomos
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  8. Andrea Angelini
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  9. Andreas F. Mavrogenis
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  10. Pietro Ruggieri
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Corresponding author

Correspondence to Pietro Ruggieri.

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All authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the Institutional and/or National Research Committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Cite this article

Calabró, T., Van Rooyen, R., Piraino, I. et al. Reconstruction of the proximal femur with a modular resection prosthesis. Eur J Orthop Surg Traumatol 26, 415–421 (2016). https://doi.org/10.1007/s00590-016-1764-0

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  • DOI: https://doi.org/10.1007/s00590-016-1764-0

Keywords

  • Limb salvage
  • Proximal femur
  • Megaprosthetic reconstruction
  • MRP®